TITLE

Snowmobile Injuries in Children and Adolescents

AUTHOR(S)
Nayci, Ali; Stavlo, Penny L.; Zarroug, Abdalla E.; Zietlow, Scott P.; Moir, Christopher R.; Rodeberg, David A.
PUB. DATE
January 2006
SOURCE
Mayo Clinic Proceedings;Jan2006, Vol. 81 Issue 1, p39
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
OBJECTIVE: To characterize the risk factors and patterns of Injury for children Involved in snowmobile incidents. PATIENTS AND METHODS: We reviewed the medical records of patients younger than 18 years who required hospital admission for snowmobile-related incidents from 1992 to 2001. Information obtained from these records and from the trauma database included patient demographics, mechanism of Injury, injury patterns, medical care, and outcomes. RESULTS: Forty-three patients were admitted to our hospital for snowmobile-related Incidents. Snowmobile Incidents occurred most commonly in male adolescents. The 2 most common mechanisms of Injury were ejection and striking a stationary object. Twenty-seven (63%) of the patients drove the snowmobile. Only 23 patients (53%) wore a helmet. At presentation, the mean ± SEM Injury Severity Score (ISS) was 12.1±1.4. Orthopedic Injuries predominated (n=42); however, abdominal (n=12) and head (n=8) Injuries were also common. Four patients were intubated, and 15 required Intensive care unit admission. Twenty-nine patients (67%) required surgical intervention. The mean ± SEM length of hospitalization was 6.7±1.4 days. No deaths occurred; however, 7 patients (16%) had long-term disabilities. A significant improvement occurred In both Glasgow Coma Scale (GCS) score and ISS for patients using a helmet. In addition, helmet use Increased with age (P=.01). Days in the Intensive care unit were proportional to both GCS score (ç=-0.47 P=.002) and ISS (rs=0.6; P<.001). Length of hospitalization also correlated with both GCS score (rs=-.0.03; P=.008) and 155 (rs=0.54; P<.02). CONCLUSION: Snowmobiles are a significant source of multi- trauma for children. Orthopedic Injuries predominate, especially in older children, and can lead to long-term disabilities. Helmet use significantly reduces Injuries; however, vulnerable younger patients do not frequently wear helmets.
ACCESSION #
19800784

 

Related Articles

  • The silent epidemic of falls from buildings: analysis of risk factors. Mayer, Lena; Meuli, Martin; Lips, Ulrich; Frey, Bernhard // Pediatric Surgery International;Sep2006, Vol. 22 Issue 9, p743 

    This study wanted to search for potential risk factors associated with falls from windows and balconies in order to eventually improve prevention. All children under the age of 16 years suffering from head injuries/multiple trauma due to falls from windows or balconies treated over the last 7...

  • Helmets: steps to a good fit. HOEKSTRA, JENNIFER // Grand Rapids Family Magazine;Aug2011, Vol. 23 Issue 8, p10 

    The article offers step-by-step instructions for wearing a bicycle helmet of suitable size while riding bicycle to prevent an injury.

  • Bicycle Helmet Counseling by Pediatricians: A Random National Survey. Ruch-Ross, Holly S.; O'Connor, Karen G. // American Journal of Public Health;May93, Vol. 83 Issue 5, p728 

    A random sample of 1201 pediatricians who are members of the American Academy of Pediatrics completed questionnaires regarding bicycle injury prevention counseling. Of the 871 pediatricians in the sample who provide health supervision, 80% reported that they discuss bicycle helmet use with their...

  • Incidence and Prognosis of Organ Failure in Severely Injured Children and Adult Patients. Husain, Baher; Kuehne, Christian; Waydhas, Christian; Lewan, Ulrike; Ose, Claudia; Nast-Kolb, Dieter; Ruchholtz, Steffen // European Journal of Trauma;Dec2006, Vol. 32 Issue 6, p548 

    Does there exist a difference in the outcome of severely injured children and severely injured healthy adults? The data of 1,566 severely injured patients, treated between May 1998 and December 2002 in our emergency department of the University Essen/Germany, were analyzed. Patients with an...

  • Bicycle Helmet Laws and Educational Campaigns: An Evaluation of Strategies to Increase Children's Helmet Use. Dannenberg, Andrew L.; Gielen, Andrea C.; Beilenson, Peter L.; Wilson, Modena H.; Joffe, Alain // American Journal of Public Health;May93, Vol. 83 Issue 5, p667 

    OBJECTIVES. The passage of a mandatory bicycle helmet law for children in Howard County, Maryland, provided an opportunity to compare legislation and education as strategies to increase helmet use. METHODS. In 1991, a survey was mailed to fourth-, seventh-, and ninth-grade students attending a...

  • The Effects of Recall on Estimating Annual Nonfatal Injury Rates for Children and Adolescents. Harel, Yossi; Overpeck, Mary D.; Jones, Diane H.; Scheidt, Peter C.; Bijur, Polly E.; Trumble, Ann C.; Anderson, John // American Journal of Public Health;Apr94, Vol. 84 Issue 4, p599 

    Objectives: This study used a recent national population survey on childhood and adolescent non-fatal injuries to investigate the effects of recall bias on estimating annual injury rates. Strategies to adjust for recall bias are recommended. Methods: The 1988 Child Health Supplement to the...

  • Incidence of non-traumatic spinal cord injury in Victoria, Australia: a population-based study and literature review. New, P. W.; Sundararajan, V. // Spinal Cord;Jun2008, Vol. 46 Issue 6, p406 

    Study design:Data extraction from a state-wide, population-based, health-administration database of hospital admissions.Objective:To determine the incidence of non-traumatic spinal cord injury (NTSCI).Setting:Victoria, Australia.Methods:All patients admitted to hospital with a new onset of...

  • BOUNCE, BOUNCE, BOUNCE, BOOM!  // Time International (South Pacific Edition);5/23/2005, Issue 20, p71 

    The article informs that annual injuries from backyard trampolines among children have almost doubled in the past decade, in the U.S. Nearly 75,000 children now come in emergency rooms each year because of such injuries. More than 2,000 of these are serious enough to require hospitalization.

  • The Hand as a Target Organ. Johnson, Charles F.; Kaufman, Keith L.; Callendar, Cynthia // Clinical Pediatrics;Feb1990, Vol. 29 Issue 2, p66 

    The authors reviewed the abuse reports submitted by the staff of The Children's Hospital, Columbus, Ohio, to determine the incidence and types of injuries inflicted to children's hands. The authors did not study hand injuries in children who were not reported as physically abused. The authors...

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics